Active NPI
Kiersten M Moreno, M.D.
- Obstetrics & Gynecology Physician
- Independence, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2016019195
- Practice address
- 19500 E 39TH Street
Suite 300
Independence, MO 64057-8324 - Phone
- (816) 478-0220
- Fax
- (816) 795-3456
- NPI assigned
- Jun 28, 2012
- Last updated
- Jul 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2016019195 | MO | Primary |
Addresses
Primary practice location
19500 E 39TH Street
Suite 300
Independence, MO 64057-8324
Mailing address
19500 E 39TH Street
Suite 300
Independence, MO 64057-8324
Phone (816) 478-0220
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kiersten.Moreno@digichart.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Texas Tech University Health Science Center School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19550 E 39TH St S
Independence, MO 64057-2306
Phone (816) 478-0220
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016019195 | MO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Independence Womens Clinic PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Midwest Division - LRHC LLC | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Centerpoint Medical Center of Independence, LLC | Past | Accepting new patients |
Locations
448 State Highway 248
Ste 150
Branson, MO 65616
Phone (417) 336-6713
3401 Pine St
Higginsville, MO 64037
Phone (660) 548-2192
19550 E 39th St S
Ste 300
Independence, MO 64057
Phone (816) 478-0220
1500 State St
Lexington, MO 64067
Phone (660) 259-2203
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HCDJDD/Endpoint/HCDJDD
- kiersten.moreno@digichart.direct-ci.com
- kiersten.moreno@hca2.eclinicaldirectplus.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Independence, MO
- NPI 1427828102
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
dba Mercy Clinic Family Medicine-Willow Springs
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
dba Lafayette Regional Health Center
- Critical Access Hospital
- Lexington, MO
- NPI 1639362460
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
-
dba Centerpoint Medical Center
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerpoint Medical Center
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1114281730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19500 E 39TH STREET",
"address_2": "SUITE 300",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640578324",
"telephone_number": "816-478-0220",
"fax_number": "816-795-3456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19500 E 39TH STREET",
"address_2": "SUITE 300",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640578324",
"telephone_number": "816-478-0220",
"fax_number": "816-795-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "KIERSTEN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-28",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "2016019195",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kiersten.Moreno@digichart.direct-ci.com",
"affiliation": "N",
"address_1": "19500 E 39th Street",
"address_2": "Suite 300",
"city": "Independence",
"state": "MO",
"country_code": "US",
"postal_code": "640578324",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.